Individual provider · Type 1 NPI

Mary Kathleen Cook, QMHA-R, CRM

Addiction (Substance Use Disorder) Counselor · Tigard, OR

NPI number 1114538840 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Call (503) 726-3690 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25-CRM-4813 (OR)
Mental Health Counselor 101YM0800X22-QMHA-R-2749 (OR)

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About NPI 1114538840

Mary Kathleen Cook, QMHA-R, CRM's National Provider Identifier is 1114538840, issued on Aug 15, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tigard, OR. The record was last updated on Mar 2, 2026.